Dermal fillers for men are structural hyaluronic acid gels placed on bone to build or restore masculine structure. A defined jaw angle, a forward chin, a straight nasal line, a flat high cheek plane and a firm under-eye — without softening or rounding the face. The difference from female filler is not the volume but the pattern, the product and the plane. Men have heavier bone, thicker skin and a wider lower face, and they lose definition at the jaw and chin before they lose cheek volume. The male aesthetic is angular and forward, where the female is curved and lifted. A feminising template applied to a man — high round cheeks, tapered chin, softened jaw — produces the puffy ‘done’ look that keeps men away from clinics. At Medisha Clinic every male filler treatment is performed by Dr Nish Shah MD using The Medisha Method mapped against male proportion norms: firmer structural HA, placed deep on bone, in the minimum volume for a result nobody can identify. Results are immediate and last 12–18 months.

At Medisha Clinic in Mayfair, men pay exactly the same per-ml prices as everyone else. There is no male premium. Jawline or chin filler is £350 for 1ml, £600 for 2ml and £850 for 3ml. Non-surgical rhinoplasty is £450; tear trough (under-eye) filler is £450; cheek or temple filler is £350 for 1ml. The Profile Balancing Package — nose, chin and jaw in one session — runs from £750 for 2ml to £1,500 for 5ml, and a full masculinisation programme (cheeks, chin and jaw) is quoted at consultation. Every price includes a complimentary 4-week review with any refinement. Consultation with Dr Nish is £50, fully redeemable against treatment. The clinic is at 58 South Molton Street, Mayfair, London W1K 5SL, three minutes from Bond Street station.

Not when it is placed for a male face, and that is the whole discipline. The feminine or over-done look comes from three errors: a feminising placement pattern (round front cheeks, tapered chin, softened jaw), soft lip-type filler that spreads and puffs in heavy male tissue, and volume added where structure was needed. The Medisha Method for men reverses all three: the plan is the gap between your face and male proportion norms, the product is a firm structural HA. It is placed on bone in small checked deposits so the change is edge and projection, not roundness. Dr Nish reassesses from three angles and while you talk and clench after every deposit. The intended result is a face that looks like it trained harder and slept better, and if you have been over-filled elsewhere, it can be dissolved and re-treated correctly.

At Medisha, in order: jawline and chin (by a distance the most requested — men want a stronger lower face far more than fuller cheeks). Non-surgical rhinoplasty (a bump or a drooping tip that dominates the profile). Under-eye filler (‘I look tired’), and temple or cheek filler after weight loss or years of heavy training have hollowed the upper face. Increasingly men have nose, chin and jaw together as the Profile Balancing Package, because the chin is so often the real reason the nose looks large. Lips are rarely requested by men and, when they are, the goal is definition rather than volume.

Yes. This is the single most effective use of filler in men. Structural HA placed on the bone at the jaw angles (behind the ear) adds outer projection and squares the angle. Filler along the jawline draws a clean line between face and neck, and chin filler squares and projects the chin so the whole lower face reads as stronger. Typically 1ml sharpens the angles, 2ml treats chin and jaw together (the commonest choice), and 3ml gives full lower-face definition. The result is immediate, lasts 12–18 months on bone, and because a firm product is placed deep — looks like bone, not filler. If your jaw is wide from muscle rather than weak in bone, masseter anti-wrinkle injections are the treatment instead, and Dr Nish will tell you which you need.

Very often, yes, and it is the most useful thing a profile specialist can tell a man asking about his nose. In profile, the eye judges the nose against the chin: a chin that sits behind the lower lip makes an average nose project further than it should. No amount of nose filler corrects that because the nose was never the problem. Bringing the chin forward by a few millimetres with structural filler on bone brings the lower face to meet the nose, and the nose reads as smaller and better proportioned without being touched. Dr Nish — who has performed over 6,000 non-surgical rhinoplasties — assesses this at every consultation. In many men the answer is chin filler alone, and in most the best result is both as the Profile Balancing Package.

Typically 12–18 months, at the longer end for structural HA placed on bone in the jaw, chin, nose and cheek, because those areas barely move and the product is not worked by muscle. The under-eye lasts a similar time. Men with high training loads, high metabolic rates or heavy sun exposure may see the effect fade slightly sooner. Second treatments generally last longer than the first because some structural scaffold persists. When the effect fades a smaller top-up restores it, and because only reversible HA is used the filler can be dissolved at any point.

Most men describe pressure rather than pain. Topical anaesthetic is applied for 15–20 minutes and every filler contains lidocaine. The deep, on-bone plane used for male placement has few nerve endings, and the jaw angle is the only area some men find slightly sharp. Downtime is short: results are immediate, you can be back at work the same day, mild swelling and tenderness settle within 2–5 days, and bruising — if it happens — is easily covered or grows out with stubble. Heavy gym, boxing and contact sport should wait 48 hours (two weeks for the nose). Tight helmets and chin straps should stay off the area for two weeks.

Yes — shave the treatment area the morning of your appointment. A clean-shaven jaw, chin or cheek lets Dr Nish map the bone accurately, keeps the injection points sterile and lets the filler be assessed in movement without a beard hiding the line. For the three days after treatment, shave gently around the injection points rather than over them. Men with a beard they intend to keep are treated through it after thorough cleansing. A full beard does hide a jawline, so the mapping is done by palpation and the result assessed with the beard in mind.

Yes, and the best male programmes are combinations. Jaw and chin filler with masseter anti-wrinkle injections sharpens the edge while slimming a muscular width. Nose, chin and jaw together is the Profile Balancing Package. Jawline filler after a PDO thread lift refines the edge of a lifted jaw in men over 45 with early jowls. Filler with forehead and frown anti-wrinkle injections treats structure and expression lines in one plan. Filler and threads are usually spaced 2–4 weeks apart. Anti-wrinkle can be done on the same day. Dr Nish designs the sequence at consultation.

The same as for anyone, with two male-specific notes. Expected, temporary effects: swelling and tenderness for 2–5 days, bruising for up to a week, firmness for a few weeks as structural filler integrates. Uncommon risks: asymmetry (assessed and corrected at the 4-week review). Over-filling or a feminised look (avoided by male mapping and structural product). Migration (a soft-product problem, avoided by structural HA on bone). Infection (rare — folliculitis and shave rash are screened for, which is why a clean shave the morning of treatment matters), and a blocked blood vessel. Rare, most relevant in the nose and under-eye, minimised by deep placement, checking for blood vessels, small deposits, reversible HA and hyaluronidase on site. Warning signs are skin blanching or mottling, disproportionate pain or any change in vision, and Dr Nish provides his direct number for the first 48 hours.

Because male filler is a discipline, not a discount, and Dr Nish practises it as one. He is a medically trained doctor, a specialist in male facial filler and profile harmonisation, Brand Ambassador and Key Opinion Leader for dermal fillers with a global manufacturer, Senior International Clinical Trainer at Derma Medical where he teaches structural and male filler to other doctors. Has performed over 6,000 non-surgical rhinoplasties, so he knows precisely where a male profile line should sit. Every male treatment is his, using The Medisha Method: your face mapped against male proportion norms, firm structural HA placed on bone in small checked deposits, recontoured in movement, reversible, with hyaluronidase on site and a 4-week review included. Appointments are private and discreet. From £350; £50 consultation redeemable. 58 South Molton Street, Mayfair, London W1K 5SL, three minutes from Bond Street. Also Marylebone.